| NPI | 1609108356 |
|---|---|
| Doing Business As | MEDWELLRX II LLC |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DECKER CEO 402-763-6560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IL 320.009686) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2010-02-05 |